News & Analysis

September 30, 2014
Medicare Insider

This week’s note is about claims processing of laboratory services. Click the link above for more information and an in-depth analysis.

September 9, 2014
Medicare Insider

This week’s note is about related claims. Click the link above for more information and an in-depth analysis.

September 2, 2014
Medicare Insider

This week’s note is about modifier 59 replacement codes. Click the link above for more information and an in-depth analysis.

September 1, 2014
Briefings on APCs

CMS refined and updated its Comprehensive APC policy in the 2015 OPPS proposed rule released July 3, adding a new complexity adjustment factor. CMS also proposes significantly expanding the packaging of ancillary services. Additionally, the proposed rule includes a significant change to requirements related to inpatient physician certification.

September 1, 2014
Briefings on APCs

When CMS releases rules, the length can be intimidating. But even at a relatively slim 700 pages, the 2015 OPPS proposed rule isn't able to include details on each of the changes CMS is planning. This is probably a good thing?otherwise the rules could be thousands of pages long. Updates like codes being moved around or status indicators changing often aren't described in full in the narrative text, necessitating a deeper look at the addenda CMS releases as Excel® files on its website.

September 1, 2014
Briefings on APCs

Our experts answer questions about dual coding and CMS' schedule for updating payment rates.

Pages